1.888.505.9104
Commercial
MyChoice Energy Commercial Enrollment Form
TERMS & CONDITIONS - ENROLLMENT - COMMERCIAL SERVICE    
Today's date is:
ENROLLMENT FORM - COMMERCIAL SERVICE
*Required Information
I have read and agree to the Residential Terms and Conditions (check here if you agree):
An enrollment with My Choice Energy will not be accepted unless you agree to the Terms & Conditions.
Promo Code:*  Agent Code:
(Promo code located on current offer page) (The person that referred you)
Company/Business Name:*
First Name:* as it appears on your utility bill
Last Name:* as it appears on your utility bill
Position/Title:
Utility:*
Authorizing Person's Name:
First Name:*
Last Name:*
 
Relationship to Account Holder:
Service Address 1:*
City: State: Zip:
Service Address 2 (if needed):
 
Mailing Address (if different):
City: State: Zip:
E-mail Address:*
Phone Number:*
Account Number:*
For Consumers Energy Customers please put in the Gas "POD" number instead of the Account Number.
This is located below the Account Number on your utility bill.
If you are currently with another supplier, by choosing My Choice Energy you could be subject to an early termination fee if you haven't fulfilled your original obligation. If that is the case, please refer to your contract for details. If you have any questions, please call us at 888-505-9104. Click here to print this page before submitting.
My Choice Energy, LLC
6034 King Rd.
Marine City, MI 48039
1-888-505-9104
fax - 1-810-765-5600
MyChoice Energy
Copyright © 2009 My Choice Energy
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6034 King Rd.
Marine City, MI 48039
My Choice Energy for my energy needs